Back-end services focus on collecting payments after claims are submitted. This stage ensures that healthcare providers receive the correct reimbursement for services provided.
Our AR and collections team works to resolve unpaid claims, manage denials, and collect outstanding balances from both insurance companies and patients.
Payment Posting
Accounts Receivable (AR) Follow-Up
Denial Management
Patient Billing
Reporting & Analytics
Payment Posting
Payment posting is the process of recording payments received from insurance companies and patients into the billing system. Our team accurately posts payments based on Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) to ensure that all transactions are properly documented. This process helps maintain accurate financial records, identify underpayments or discrepancies, and ensure that healthcare providers have a clear view of their revenue.
Accounts Receivable (AR) Follow-Up
Accounts Receivable follow-up focuses on tracking unpaid or delayed claims to ensure timely payment from insurance companies. Our AR specialists monitor outstanding claims and regularly follow up with payers to check claim status and resolve any issues that may delay payment. By actively managing unpaid claims, we help healthcare providers reduce aging accounts and improve their overall collection rates.
Denial Management
Denial management involves identifying, analyzing, and resolving claims that have been denied by insurance companies. Our team reviews the reasons for denial, corrects any errors, and resubmits or appeals the claims when necessary. We also analyze denial patterns to identify recurring issues and implement preventive measures to reduce future denials, helping healthcare providers recover lost revenue and improve claim acceptance rates.
Patient Billing
Patient billing includes generating and sending billing statements to patients for balances not covered by insurance. Our team ensures that patient invoices are accurate, clear, and sent in a timely manner. We also assist with payment plans and provide support for patient billing inquiries, making it easier for patients to understand their financial responsibility and complete their payments.
Reporting & Analytics
Reporting and analytics provide healthcare providers with detailed insights into their revenue cycle performance. Our team generates regular reports that track key metrics such as accounts receivable aging, collection rates, and denial trends. These insights help healthcare organizations identify areas for improvement, optimize billing processes, and make informed financial decisions to strengthen their revenue cycle.
